OCDEL Family Support Programs - Eita · • Low income pregnant women or families with children birth to age 5 ... and the benefits of breastfeeding. • Address needs for appropriate

>Tom Wolf, Governor Pedro A. Rivera, Secretary of Education | Teresa Miller, Secretary of Human Services

OCDEL Family Support Programs


OCDEL Family Support Programs

• Children’s Trust Fund (CTF)• Nurse-Family Partnership (NFP)• Maternal, Infant, and Early Childhood Home Visiting (MIECHV)

– Parents as Teachers (PAT)– Nurse-Family Partnership (NFP)– Early Head Start (EHS)– Healthy Families America (HFA)

• Family Centers (FC)– Parents as Teachers (PAT)

• Promoting Responsible Fatherhood (PRF)• Home Visiting Expansion (HVE)

– Parents as Teachers (PAT)– Early Head Start (EHS)– Healthy Families America (HFA)– Nurse-Family Partnership (NFP)– Family Check-Up for Children (FCU)


Pennsylvania Children’s Trust Fund

• Established as Act 151 of 1988

• Dedicated to funding innovative and creative community-based child abuse and neglect prevention programs

• Funded through revenue generated from a $10 surcharge on all marriage and divorce applications filed in the Commonwealth. Additionally, gifts, donations, interest and sometime federal funds contribute to our revenue.


Services

Grantees used evidence-based and promising practice programs including home visiting models, individual and group-based parent education, and case management. Specific programs include:

- Early Head Start - Healthy Families America- Incredible Years - Nurse-Legal Partnership - Nurturing Parenting (4)- Parents as Teachers (7)- Strengthening Families Program - STEP - Systematic Training for Effective Parenting - Triple P – Positive Parenting Program (2)


Family Centers

Since 1992, Pennsylvania's Family Centers have integrated and provided community services to help families become healthier, better educated and self-sufficient. Family Centers help parents:• Learn about their children's development.• Engage in parent education and child development

activities.• Access health care information as well as assistance

regarding health care services and insurance.• Access education, training and employment information.• Receive information and assistance on other community

resources, such as well-baby care, immunizations and early intervention services.


Family Centers

• Family Centers• 42 Family Centers• Serving 31 counties • 2244 Family Capacity • The implementation of Parents as

Teachers is required of all state funded Family Centers.


Family Centers

Since each Family Center takes a unique approach to meeting their community's needs, not all services are available in every center. However, Family Center services may include:• Adult Education• Job Training and Placement• Language Skills• Literacy Programs• Parent Support Groups• Parenting Skills Programs• Child Health and Development Screenings• Family Activities• Toy and Book Lending Libraries• Child Care Programs• Summer and After-School Activities


Promoting Responsible Fatherhood

PROMOTING RESPONSIBLE FATHERHOODThe Department of Human Services (DHS), in coordination with other Commonwealth agencies, launched the Promoting Responsible Fatherhood Initiative (PRF) in 1999. Applicants are called upon to help fathers: • Strengthen positive father-child engagement• Improve employment and economic mobility opportunities; and• Improve healthy relationships (including couple and co-parenting)

and marriage.


Pennsylvania Home Visitation

Pennsylvania’s Four Evidence Based Models

Nurse Family Partnerships (NFP) Parents as Teachers (PAT) Healthy Family America (HFA) Early Head Start (EHS) Family Check-Up



A common component of Family Support Programs is “Home Visiting”



What is “Home Visiting”?

Offer voluntary, family-focused services to expectant parents and families with new babies and young children.

Focus on improving birth outcomes, family self-sufficiency, and maximizing children’s early potential to start school healthy and ready to learn.

Provides families a way to access services that they may otherwise have a difficult time receiving.

OCDEL supports various evidence based home visiting models through a combination of state and federal funding.



Why in the Home?

It’s a family’s natural environment where they feel most comfortable and willing to open up.

Provides health professionals an opportunity to observe families’ strengths and challenges in the context of their day to day lives.

Parents and children are able to work on strengths and challenges within the home.

Transportation is no longer an issue.



What is a Home Visitor? All home visitors have training in helping families.

Depending on the program, most home visitors have at least a high school diploma and many have college degrees in health or early childhood development.

Parent educators, family support worker or a nurse. Works collaboratively with families:

To build strong and trusting relationships that aim to support them in reaching their goals

To share valuable information and resources to help promote childhood growth and development

To help families identify their strengths and support systems to help them develop effective problem solving skills.



Who Benefits from Home Visiting?

A mother facing her first pregnancy, a high-risk pregnancy.

A family experiencing other stresses, such as unemployment and language barriers, that limit their ability to connect to resources.

Any family interested in learning new skills, working on challenges they face or working towards a goal and need support.



What happens during a Home Visit?

Families have the opportunity to share their thoughts about parenting, ask questions and receive reliable information based on their needs and topic of interest.

Home visitors mentor families about child development, parenting skills and other topic areas relevant to that family.

• An evidence-based, community health program

• Transforming lives of vulnerable first-time mothers living in poverty

• Improving prenatal care, quality of parenting and life prospects for mothers by partnering them with a registered nurse

Every dollar invested in Nurse-Family Partnership can yield more than five dollars in return.

16Overview

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Overview

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• Improve pregnancy outcomes

• Improve child health and development

• Improve parents’ economic self-sufficiency

• First-time, at-risk mothers

• Registered nurses• Intensive services

(intensity, duration)• Focus on behavior• Program fidelity

`

• Knowledge, judgment and skills

• High level of trust, low stigma

• Credibility and perceived authority

• Nursing theory and practice at core of original model

Overview

Key Program Components

Why Nurses?

© Copyright 2013 Nurse-Family Partnership. All rights reserved. © Copyright 2014 Nurse-Family Partnership. All rights reserved.

Overview

Program Goals

• Comprehensive (cognitive, social emotional and physical development, health and nutrition)

• 2 generational with the parent taking on the role of primary teacher

• Aimed at enhancing children’s development while strengthening families

Home Visitation in Head Start andEarly Head Start

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• Low income pregnant women or families with children birth to age 5

• Families must be at or below the Federal Poverty Line ($23,850 for a family of 4)

• At least 10% of enrolled children must have a disability and be eligible for Part C services under the Individuals with Disabilities Education Act in their state

• Beyond age and income requirements, programs develop specific eligibility criteria that are aligned with Federal Performance Standards and based on needs within their individual community

Target Population

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• Program located in many PA counties• Children and families receive services through a

variety of organizations• Community Action Agencies• Intermediate Units/School Districts• Faith based organizations• Human Services based organizations• Hospitals• Single purpose, not for profit agencies• State Government• EHS-CC Partnerships

EHS in Pennsylvania

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• Weekly 90-minute home visits• 2-4 group socialization activities/month for parents

and their children• Family Partnership Agreement

• Integrally involves the parent in defining the individualized focus for each enrolled child and family

Program Model Components

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• Ensure ongoing source of continuous, accessible health care – provided by a health care professional that maintains her ongoing health record

• Ensure access to comprehensive services through referrals that, at a minimum, include nutritional counseling, food assistance, oral health care, mental health services, substance abuse prevention and treatment, and emergency shelter or transitional housing in cases of domestic violence

• Provide a newborn visit with each mother and baby to offer support and identify family needs

Prenatal and Postpartum Services

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• Provide enrolled pregnant women, fathers, and partners or other relevant family members the prenatal and postpartum information, education and services that address, as appropriate, fetal development, the importance of nutrition, the risks of alcohol, drugs, and smoking, labor and delivery, postpartum recovery, parental depression, infant care and safe sleep practices, and the benefits of breastfeeding.

• Address needs for appropriate supports for emotional well-being, nurturing and responsive caregiving, and father engagement during pregnancy and early childhood.

Prenatal and Postpartum Services

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• Model

• Quality

• Advocacy

• Professional Development

Four dynamic components Personal visits

Group connections

Screenings

Resource network

• Parents as Teachers helps all children enter school ready to learn.

• Parents as Teachers prevents child abuse.

• Parents as Teachers improves children’s health and development outcomes.

THE FAMILY CHECK-UP

Model Developer: Thomas Dishion, Ph.D.Arizona State University

REACH Institute

DANIEL S. SHAW, PH.D.ANNE M. GILL, PH.D.

UNIVERSITY OF PITTSBURGH

THE FAMILY CHECK-UP

• Strengths-based intervention that reduces children’s problem behaviors by improving parenting practices.

• Integrates an ecological assessment with motivation-enhancement strategies to tailor intervention goals to each unique family.

• Several studies and more than 30 years of evidence show that the Family Check-Up is effective.

3-STEP INTERVENTION PROCESS

1) The first step in the Family Check-Up process is the Initial Interview. 2) The second step is a comprehensive, Ecological Family Assessment to

identify a family's strengths and needs. 3) The final step is the Feedback Session when the provider and parents

meet to discuss the family’s strengths, needs, and goals. Each session is approximately 45-60 minutes. Follow-up: Tailored intervention services after the Feedback SessionThe Everyday Parenting Curriculum is a parent skills-training program offered to parents. It can be tailored to meet the specific needs of individual families. On average, parents participate in 3-6 follow-up Everyday Parenting sessions.

Feedback Session

Child and Family

AssessmentInitial

Interview

SIX PRINCIPLES OF THE FAMILY CHECK-UP MODEL

FAMILY-CENTERED• Addresses adult leadership, services are linked to family management

and child adjustment

ASSESSMENT DRIVEN• Decisions regarding intervention targets follow careful assessments

MOTIVATIONAL• Client motivation to change is a core component addressed in

feedback session

TAILORED• Addresses unique needs of each child and family

STRENGTHS-BASED• Validates existing strengths to promote change

HEALTH MAINTENANCE MODEL• Includes periodic visits and long-term relationships with providers

THE FCU: IMPACT FOR FAMILIES

Children

• Improved behavior at home and in school

• Better emotion regulation and emotional well-being

• Increased school readiness

• Decreased risk for obesity

• Reduced exposure to neglect

Adolescents

• Better grades• Improved school

attendance• Less drug use• Less delinquent

behavior• Less bullying in

school• Less depression

Parents

• Improved mood, reduced depression

• Increased social support

• Increased use of positive behavior support

• Improved relationships among family members

• Reduced child neglect

THE FCU IN EARLY CHILDHOOD:POSITIVE OUTCOMES FOR CHILDREN

• Fewer problem behaviors at school and home thru age 10

• Increased academic achievement at school-age

• Improved ability to regulate emotions and better emotional adjustment

• Reduced BMI

• Reduced conflict in parent-child relationship

• Reduced parental neglect

THE FCU IN EARLY CHILDHOOD:POSITIVE OUTCOMES FOR PARENTS

• Decreased maternal depression • Improved social support satisfaction• Improved parent-partner relationship

quality• Increases in positive parenting,

leading to reductions in coercive parenting

Documents

OCDEL Family Support Programs - Eita · • Low income pregnant women or families with children birth to age 5 ... and the benefits of breastfeeding. • Address needs for appropriate